Individual
DR. AARON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1107 S FIFTH ST STE 250, MEBANE, NC 27302-9896
(919) 563-2873
(919) 563-2876
Mailing address
1107 S FIFTH ST STE 250, MEBANE, NC 27302-9896
(919) 563-2873
(919) 563-2876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
052778
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9268
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2017-02466
NC
208D00000X
General Practice Physician
269639
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02888484
—
NY
05
—
5919946
—
NC
Enumeration date
09/02/2007
Last updated
11/22/2017
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